e-Article
[Pronounced symptom deterioration in complex regional pain syndrome type II after isolated application of a highly concentrated capsaicin patch. A case report].
Document Type
Academic Journal
Author
Girtler R; Abteilung für Anästhesie, Intensiv- und Schmerzmedizin, Wilhelminenspital der Stadt Wien, Montleartstr. 37, 1160, Wien, Österreich. richard.girtler@wienkav.at; Kloimstein H; Gustorff B
Source
Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 8906258 Publication Model: Print Cited Medium: Internet ISSN: 1432-2129 (Electronic) Linking ISSN: 0932433X NLM ISO Abbreviation: Schmerz Subsets: MEDLINE
Subject
Language
German
Abstract
Topical 8 % capsaicin is an established therapeutic option for the treatment of peripheral neuropathic pain. In accordance with the internationally accepted definition, complex regional pain syndrome (CRPS) type II is a form of neuropathic pain so that capsaicin plasters represent a treatment option. However, for the treatment of CRPS it is recommended that painful stimuli should be avoided but capsaicin induces a strong nociceptive stimulation and so its use is at present controversial. We report on the course of such an application in a patient who developed CRPS type II with intractable neuropathic pain after hallux surgery. As a result of a single treatment with capsaicin a pronounced recurrence developed with central nervous symptoms.